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Individual

DR. JAMES SIDNEY SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
299
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114354
UCARE
MN
01
115435
CHOICE PLUS
MN
01
27-00637
MEDICA
MN
01
3875
MMSI
MN
01
41564SH
BLUE CROSS BLUE SHIELD
MN
01
935341018502
PREFERRED ONE
MN
01
V41124916441171
HEALTH PARTNERS
MN
Enumeration date
09/24/2006
Last updated
12/17/2007
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